Medical Reimbursement Analyst Sr

Job description

Nemours is seeking a Sr. Medical Reimbursement Analyst in Jacksonville, FL. The primary function of the Senior Medical Reimbursement Analyst is the resolution of open high dollar insurance balances through collections. The position is responsible for researching unpaid, underpaid and denied high dollar insurance claims then applying contractual billing and payment guidelines to ensure timely resolution and meet collection goals. The position also uses knowledge of the revenue cycle to analyze, report and work reimbursement issues with various internal departments and external entities at all levels to create reliable methods for future resolution. Essential Functions: - Work accounts until all charges are paid or denied by the insurance carrier, while utilizing their ability to multitask, maintain process efficiencies and production levels. - Understand and apply principles of reimbursement to all aspects of the revenue cycle including but not limited to billing, coding, reimbursement, recovery, and patient responsibility. - Account for high dollar balances and keep abreast of insurance trends while identifying and reporting payor trends and issues to management and huddle board in...